Gordon'S Pharmacy

LBN: Gordons Pharmacy Llc
Gordon'S Pharmacy is an health care organization with primary practice located at 3010 Us Highway 80 Unit B, Bloomingdale GA 31302-4558. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Gordons Pharmacy Llc can be contacted via phone (912) 988-1780, or through Gordon, Steven via phone (912) 663-2674.

Contact Information

Primary practice address
3010 Us Highway 80 Unit B Bloomingdale GA 31302-4558
Phone: (912) 988-1780
Fax: (912) 988-1784
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Steven
Phone: (912) 663-2674

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009832 Georgia

Profile Details

NPI number 1730448457
LBN Legal business name Gordons Pharmacy Llc
DBA Doing business as Gordon'S Pharmacy
Authorized official Gordon, Steven
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2012
Last updated Aug 21st, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730448457 NPPES
Georgia MEDICAID 003125586A
Georgia Other 1162469

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